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Contact Information

KIDS CARE MEDICAL CENTER
6073 MT MORIAH RD EXT
SUITE 2
MEMPHIS, TN38115-2666
 Phone: 901-365-2555
 Fax: 901-365-2544
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

2080A0000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KIDS CARE MEDICAL CENTER · (Female)

NPI # 1346649894
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2014
Last updated 08/21/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • TN License # 21143
  • TN Medicaid 3896594
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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